Cardiac Surgery Versus Stenting: What is Better for the Patient?
For three-vessel disease, CABG is superior to PCI, with lower rates of major adverse cardiac events. PCI may be equivalent to CABG for three-vessel disease in the lowest disease complexity tercile (SYNTAX score <22; ∼20% of patients). This review focuses on the most recent evidence for myocardial revascularization in patients with multi-vessel and left main coronary artery disease.
Strategies for Multivessel Revascularization in Patients with Diabetes
For patients with diabetes and advanced coronary artery disease, CABG was superior to PCI in that it significantly reduced rates of death and myocardial infarction, with a higher rate of stroke.
Current Concepts on Coronary Revascularization in Diabetic Patients
Coronary artery bypass surgery outcomes may also further improve by wide implementation of arterial revascularization, reduction in perioperative stroke by avoiding clamping of the aorta, reduction in wound infection by minimally invasive techniques, and optimization of post-operative medical management.
Outcomes of Coronary Revascularization (Percutaneous or Bypass) in Patients with Diabetes Mellitus and Multivessel Coronary Disease
In conclusion, in this single-center nonrandomized observational study, coronary revascularization by PCI is associated with increased major adverse coronary and cerebral events at 1-year follow-up, predominantly driven by a high rate of target vessel revascularization. Thus, CABG should remain the revascularization procedure of choice for diabetic patients with MVD and high SSs.
Failure Mode Effects Analysis (EP Video)
Jim Reagor discusses failure mode effects analysis to enhance perfusion safety (20:13 minutes).
A Roadmap for Bridging the Quality Chasm in Cardiac Surgery (EP Video)
Dr. Richard Prager presents a roadmap for bridging the disparity in quality outcomes (56:25 minutes).
Are Right Ventricular Risk Scores Useful?
The use of risk scores failed to predict the need of RV support after LVAD.
Low-Flow Antegrade Cerebral Perfusion Attenuates Early Renal and Intestinal Injury During Neonatal Aortic Arch Reconstruction
These results substantiate earlier suggestions that ACP provides more abdominal organ protection than DHCA in neonates undergoing aortic arch reconstruction.
Safety of Training and Assessment in Operating Theatres – A Systematic Review and Meta-Analysis
This article establishes a systematic evidence base for the safety of training in the operating theatre.
Cold Reperfusion Before Rewarming Reduces Neurological Events after Deep Hypothermic Circulatory Arrest
Before rewarming, a 10-min period of cold perfusion significantly reduces incidence of NE.
Establishment of a Co-Culture Model for Studying Inflammation after Pediatric Cardiopulmonary Bypass: From Bench to Bedside
Our coculture model could be useful for studies on the mechanisms of CPB-induced inflammation.
A Review of Postoperative Cognitive Dysfunction and Neuroinflammation Associated with Cardiac Surgery and Anaesthesia
We briefly discuss the evidence for cardiopulmonary bypass-related neuronal injuries in adult cardiac surgery patients, and review the evidence that immune priming is a key factor in the pathogenesis of cognitive dysfunction after cardiac surgery.